Breast implants too low. Do I need a revision? Sounds like surgery was performed incorrectly (Photo)

Question

My implants bottomed out soon after surgery. They are not too large for me. I had 465cc in my body for 10 years, took them out, no breast tissue and flat for a couple years, now 295cc, perfect size for my body. But dropped almost immediately below the crease, why do I pay for a revision. sounds like surgery was performed incorrectly?

Daniel Barrett, MD · Answer

Dear Straightforward370398,
bottoming out occurs when the implant falls below the current breast crease or inframammary line. It's more likely to happen with inframammary incisions, which is why I try not to use the inframammary approach to any breast surgery.
Bottoming out can also occur if an implant is too large for the breast pocket. That is why it is important to choose an implant size that's correct for your body. I perform numerous measurements in the office to determine optimal implant size for my patient's bodies.
If you are concerned, please check it with your plastic surgeon for reassurance and to further discuss your options and possibility of revision.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Steven Sigalove, MD FACS · Answer

You should be able to have a very beautiful, stale and long lasting result. I would change you to the subfascial position, exchange your implants based on aesthetic goals, and reinforce the new pocket with material that should give you a long lasting result. This is a common problem but needs to be fixed correctly.

Connie Hiers, MD, FACS · Answer

Surgery may have been performed correctly, but your tissue may be thin from being stretched with larger implants. You probably need mesh for better support.

Kenneth R. Francis, MD, FACS · Answer

Dear Straightforward,
Maybe not so straightforward.  You don't mention your "prior Enbloc" in the question.  More information is needed on that front.  The issue of paying for a revision is strictly between you and your surgeon and, of course, would be subject to his or her policies.  Good luck!

Darryl J. Blinski, MD · Answer

Based on your nicely posted photos, you have bottoming of your breast implants, only revision can can help either by doing a type of flap surgery in the crease, tacking it to the ribs or using a mesh in the quadrant to form and inform. Fees are from $10,000-$20,000. Best virtual consult with.

Breast implants too low. Do I need a revision? Sounds like surgery was performed incorrectly (Photo)

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Breast implants too low. Do I need a revision? Sounds like surgery was performed incorrectly (Photo)

Answers (6)

Answer: Breast implant bottoming out

Answer: Breast implant bottoming out

Answer: Second round breast implants bottoming

Answer: Second round breast implants bottoming

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Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.